Provider Demographics
NPI:1730233925
Name:FRINGS-NETYS, SARAH MARY (DC)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:MARY
Last Name:FRINGS-NETYS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:MARY
Other - Last Name:FRINGS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:935 HORICON ST
Mailing Address - Street 2:
Mailing Address - City:MAYVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53050-1428
Mailing Address - Country:US
Mailing Address - Phone:920-387-3240
Mailing Address - Fax:920-387-4245
Practice Address - Street 1:935 HORICON ST
Practice Address - Street 2:
Practice Address - City:MAYVILLE
Practice Address - State:WI
Practice Address - Zip Code:53050-1428
Practice Address - Country:US
Practice Address - Phone:920-387-3240
Practice Address - Fax:920-387-4245
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3902012111N00000X
GACHIR007387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI38953900Medicaid
WI38953900Medicaid